Jequeita Monique Brown, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2008025678 Issued in MO

Practice address

694 Greenway Manor Dr
Apt B
Florissant, MO 63031-1387

Phone

(314) 243-3734

NPI assigned

May 31, 2012

Last updated

May 31, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Actum Medical Transportation Corp

  • Non-emergency Medical Transport (VAN)
  • Fayetteville, GA
  • NPI 1629892641
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1790046209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 GREENWAY MANOR DR",
            "address_2": "APT B",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311387",
            "telephone_number": "314-243-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 GREENWAY MANOR DR",
            "address_2": "APT B",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311387",
            "telephone_number": "314-243-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JEQUEITA",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2008025678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauletta Marie Broomfield
• Brown Optometry, Inc.
• Ebony Nicole Brown-El
• Andrew David Brown, O.D.
• Earlene Brown
• Kimbely Brown, CNA
• Kris Sterling Brown
• Kristen Brown, OTR/L
• Lakita Janae Brown
• Marc Richard Brown, O.D.

• Occupational Therapy Assistant in Florissant, MO
• Providers in Florissant, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.